Association of Sexualized Drug Use Patterns with HIV/STI Transmission Risk in an Internet Sample of Men Who Have Sex with Men from Seven European Countries
We estimated the prevalence of overall sexualized drug use (SDU) and of chemsex in particular, assessed patterns of drug use, and identified subpopulations of men who have sex with men (MSM) where SDU and chemsex are more frequent. Using data from an online survey of 9407 MSM recruited during 2016 i...
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| Veröffentlicht in: | Archives of sexual behavior 2021-02, Vol.50 (2), p.461-477 |
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| creator | Guerras, Juan-Miguel Hoyos Miller, Juan Agustí, Cristina Chanos, Sophocles Pichon, François Kuske, Matthias Cigan, Bojan Fuertes, Ricardo Stefanescu, Roxana Ooms, Lieselot Casabona, Jordi de la Fuente, Luis Belza, María-José |
| description | We estimated the prevalence of overall sexualized drug use (SDU) and of chemsex in particular, assessed patterns of drug use, and identified subpopulations of men who have sex with men (MSM) where SDU and chemsex are more frequent. Using data from an online survey of 9407 MSM recruited during 2016 in 7 European countries, we calculated the proportion of participants who reported SDU and chemsex (mephedrone, methamphetamine, and/or GHB/GBL) in the last 12 months. We grouped the different drug-use combinations in patterns and described sexual risk behaviors, sexually transmitted infections (STI), and HIV seropositivity for each one of them. Factors associated with SDU and chemsex were assessed with two logistic regression models. SDU was reported by 17.7% and chemsex by 5.2%. Risk indicators increased through the different SDU patterns but were higher within those including chemsex drugs. In the multivariate analysis, chemsex was independently associated with living in Slovenia. Both SDU and chemsex were independently associated with living in Spain; being 500,000 inhabitants; being open about their sex life; reporting transactional sex; condomless anal intercourse; having received an STI diagnosis and with being HIV positive or having been tested ≤ 12 months ago. Magnitude of associations was higher in the chemsex model. One in five participants reported SDU, but prevalence of chemsex was notably lower. However, the risk profiles and higher prevalence of HIV/STIs among those involved in chemsex suggest the existence of a subpopulation of MSM that could be playing a relevant role in the HIV and STI epidemics, especially in very large cities of some countries. |
| doi_str_mv | 10.1007/s10508-020-01801-z |
| format | Article |
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Using data from an online survey of 9407 MSM recruited during 2016 in 7 European countries, we calculated the proportion of participants who reported SDU and chemsex (mephedrone, methamphetamine, and/or GHB/GBL) in the last 12 months. We grouped the different drug-use combinations in patterns and described sexual risk behaviors, sexually transmitted infections (STI), and HIV seropositivity for each one of them. Factors associated with SDU and chemsex were assessed with two logistic regression models. SDU was reported by 17.7% and chemsex by 5.2%. Risk indicators increased through the different SDU patterns but were higher within those including chemsex drugs. In the multivariate analysis, chemsex was independently associated with living in Slovenia. Both SDU and chemsex were independently associated with living in Spain; being < 50 years old; living in cities of > 500,000 inhabitants; being open about their sex life; reporting transactional sex; condomless anal intercourse; having received an STI diagnosis and with being HIV positive or having been tested ≤ 12 months ago. Magnitude of associations was higher in the chemsex model. One in five participants reported SDU, but prevalence of chemsex was notably lower. However, the risk profiles and higher prevalence of HIV/STIs among those involved in chemsex suggest the existence of a subpopulation of MSM that could be playing a relevant role in the HIV and STI epidemics, especially in very large cities of some countries.</description><identifier>ISSN: 0004-0002</identifier><identifier>EISSN: 1573-2800</identifier><identifier>DOI: 10.1007/s10508-020-01801-z</identifier><identifier>PMID: 32875382</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject><![CDATA[Acquired immune deficiency syndrome ; Adult ; Age Distribution ; Age Factors ; AIDS ; Behavioral Science and Psychology ; Cocaine ; Cross-Sectional Studies ; Drug use ; Europe ; Gays & lesbians ; HIV ; HIV Infections - epidemiology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Internet - statistics & numerical data ; Male ; Marijuana ; Mens health ; Methamphetamine ; Middle Aged ; Original Paper ; Prevalence ; Psychology ; Public Health ; Public speaking ; Risk Factors ; Risk-Taking ; Sexual and Gender Minorities - statistics & numerical data ; Sexual Behavior ; Sexual Behavior - statistics & numerical data ; Sexualization ; Sexually transmitted diseases ; Sexually Transmitted Diseases - epidemiology ; Social Sciences ; STD ; Substance-Related Disorders - epidemiology ; Surveys and Questionnaires ; Systematic review ; Unsafe Sex - statistics & numerical data ; Young Adult]]></subject><ispartof>Archives of sexual behavior, 2021-02, Vol.50 (2), p.461-477</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-12d884ea4ee78ffc2243cde7bf9193cdc2d3fbe03f006696bc8cc5104c55fb363</citedby><cites>FETCH-LOGICAL-c404t-12d884ea4ee78ffc2243cde7bf9193cdc2d3fbe03f006696bc8cc5104c55fb363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10508-020-01801-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10508-020-01801-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32875382$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guerras, Juan-Miguel</creatorcontrib><creatorcontrib>Hoyos Miller, Juan</creatorcontrib><creatorcontrib>Agustí, Cristina</creatorcontrib><creatorcontrib>Chanos, Sophocles</creatorcontrib><creatorcontrib>Pichon, François</creatorcontrib><creatorcontrib>Kuske, Matthias</creatorcontrib><creatorcontrib>Cigan, Bojan</creatorcontrib><creatorcontrib>Fuertes, Ricardo</creatorcontrib><creatorcontrib>Stefanescu, Roxana</creatorcontrib><creatorcontrib>Ooms, Lieselot</creatorcontrib><creatorcontrib>Casabona, Jordi</creatorcontrib><creatorcontrib>de la Fuente, Luis</creatorcontrib><creatorcontrib>Belza, María-José</creatorcontrib><creatorcontrib>Euro HIV EDAT Working Group</creatorcontrib><creatorcontrib>The Euro HIV EDAT Working Group</creatorcontrib><title>Association of Sexualized Drug Use Patterns with HIV/STI Transmission Risk in an Internet Sample of Men Who Have Sex with Men from Seven European Countries</title><title>Archives of sexual behavior</title><addtitle>Arch Sex Behav</addtitle><addtitle>Arch Sex Behav</addtitle><description>We estimated the prevalence of overall sexualized drug use (SDU) and of chemsex in particular, assessed patterns of drug use, and identified subpopulations of men who have sex with men (MSM) where SDU and chemsex are more frequent. Using data from an online survey of 9407 MSM recruited during 2016 in 7 European countries, we calculated the proportion of participants who reported SDU and chemsex (mephedrone, methamphetamine, and/or GHB/GBL) in the last 12 months. We grouped the different drug-use combinations in patterns and described sexual risk behaviors, sexually transmitted infections (STI), and HIV seropositivity for each one of them. Factors associated with SDU and chemsex were assessed with two logistic regression models. SDU was reported by 17.7% and chemsex by 5.2%. Risk indicators increased through the different SDU patterns but were higher within those including chemsex drugs. In the multivariate analysis, chemsex was independently associated with living in Slovenia. Both SDU and chemsex were independently associated with living in Spain; being < 50 years old; living in cities of > 500,000 inhabitants; being open about their sex life; reporting transactional sex; condomless anal intercourse; having received an STI diagnosis and with being HIV positive or having been tested ≤ 12 months ago. Magnitude of associations was higher in the chemsex model. One in five participants reported SDU, but prevalence of chemsex was notably lower. However, the risk profiles and higher prevalence of HIV/STIs among those involved in chemsex suggest the existence of a subpopulation of MSM that could be playing a relevant role in the HIV and STI epidemics, especially in very large cities of some countries.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Age Factors</subject><subject>AIDS</subject><subject>Behavioral Science and Psychology</subject><subject>Cocaine</subject><subject>Cross-Sectional Studies</subject><subject>Drug use</subject><subject>Europe</subject><subject>Gays & lesbians</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Internet - statistics & numerical data</subject><subject>Male</subject><subject>Marijuana</subject><subject>Mens health</subject><subject>Methamphetamine</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Prevalence</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Public speaking</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>Sexual and Gender Minorities - 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Using data from an online survey of 9407 MSM recruited during 2016 in 7 European countries, we calculated the proportion of participants who reported SDU and chemsex (mephedrone, methamphetamine, and/or GHB/GBL) in the last 12 months. We grouped the different drug-use combinations in patterns and described sexual risk behaviors, sexually transmitted infections (STI), and HIV seropositivity for each one of them. Factors associated with SDU and chemsex were assessed with two logistic regression models. SDU was reported by 17.7% and chemsex by 5.2%. Risk indicators increased through the different SDU patterns but were higher within those including chemsex drugs. In the multivariate analysis, chemsex was independently associated with living in Slovenia. Both SDU and chemsex were independently associated with living in Spain; being < 50 years old; living in cities of > 500,000 inhabitants; being open about their sex life; reporting transactional sex; condomless anal intercourse; having received an STI diagnosis and with being HIV positive or having been tested ≤ 12 months ago. Magnitude of associations was higher in the chemsex model. One in five participants reported SDU, but prevalence of chemsex was notably lower. However, the risk profiles and higher prevalence of HIV/STIs among those involved in chemsex suggest the existence of a subpopulation of MSM that could be playing a relevant role in the HIV and STI epidemics, especially in very large cities of some countries.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32875382</pmid><doi>10.1007/s10508-020-01801-z</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acquired immune deficiency syndrome Adult Age Distribution Age Factors AIDS Behavioral Science and Psychology Cocaine Cross-Sectional Studies Drug use Europe Gays & lesbians HIV HIV Infections - epidemiology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Internet - statistics & numerical data Male Marijuana Mens health Methamphetamine Middle Aged Original Paper Prevalence Psychology Public Health Public speaking Risk Factors Risk-Taking Sexual and Gender Minorities - statistics & numerical data Sexual Behavior Sexual Behavior - statistics & numerical data Sexualization Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Social Sciences STD Substance-Related Disorders - epidemiology Surveys and Questionnaires Systematic review Unsafe Sex - statistics & numerical data Young Adult |
| title | Association of Sexualized Drug Use Patterns with HIV/STI Transmission Risk in an Internet Sample of Men Who Have Sex with Men from Seven European Countries |
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